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COMPLIANCE INFO PRE 2019
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0518421
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COMPLIANCE INFO PRE 2019
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Last modified
6/5/2019 4:25:56 PM
Creation date
6/5/2019 4:08:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0518421
PE
2220
FACILITY_ID
FA0002048
FACILITY_NAME
TESORO (Shell) 68221(WRR 6290)
STREET_NUMBER
2705
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12121008
CURRENT_STATUS
01
SITE_LOCATION
2705 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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r <br /> r Ywm, rYL(i <br /> INTFGRATEO WASTESTREAM MANAGEMENT,INC. <br /> 950 AMES AVENUE,MILPITAS,CA 95035 <br /> PHONE: 408.942.8955 FAX: 408.942.1499 <br /> CERTIFICATE OF DISPOSAL <br /> Generator Name: USA Gasoline Corporation Facility Name: USA#835 <br /> Address: 30101 Agoura Court, Ste 200 Address: 2705 Country Club Drive <br /> Agoura Hills, CA 91301 Stockton, CA <br /> Contact: Chuck Miller Facility Contact: Chuck Miller <br /> Phone: 818-865-9200 Phone: 818-865-9200 <br /> 92240-DL <br /> IWM Job#: <br /> Description of Waste: 2 Drum(s) <br /> Non-Hazardous <br /> Water <br /> Removal Date: June 5, 2002 <br /> SP050602-MISC <br /> Ticket#: <br /> Transporter Information Disposal Facility Information <br /> Name: IWM, Inc. Name: Seaport Environmental <br /> Address: 950 Ames Avenue Address: 675 Seaport Blvd <br /> Milpitas, CA 95035 Redwood City, CA 94063 <br /> Phone: (408) 942-8955 Phone: 650-364-6158 <br /> IWM, INC. CERTIFIES THAT THE ABOVE LISTED NON-HAZARDOUS WASTE WILL BE <br /> TREATED AND DISPOSED AT THE DESIGNATED FACILITY IN ACCORDANCE WITH <br /> APPLICABLE FEDERAL, STATE,AND LOCAL REGULATIONS. <br /> William T. DeLon � 6/5/02 <br /> Authorized Representative (Print Name and Signature) Date <br /> CLAOlDisoosul.Master010600 Revised: 1 June 2000 <br />
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